Association between excision repair cross-complementation group 1 polymorphism and clinical outcome of platinum-based chemotherapy in patients with epithelial ovarian cancer

Sokbom Kang, Woong Ju, Weon Kim Jae, Noh Hyun Park, Yong Sang Song, Cheol Kim Seung, Sang Yoon Park, Soon Beom Kang, Hyo Pyo Lee

Research output: Contribution to journalArticlepeer-review

82 Scopus citations

Abstract

ERCC1 is a DNA repair gene and has been associated with resistance to DNA damaging agents. In this study we hypothesized that a polymorphism of ERCC1 Asn118Asn (C→T) might affect the platinum-resistance of epithelial ovarian cancer patients to platinum-taxane chemotherapy administered postoperatively. Using the SNapShot assay, we assessed this polymorphism in ERCC1 in 60 ovarian cancer patients. Platinum-resistance was defined as progression on platinum-based chemotherapy or recurrence within 6 months of completing therapy. Although not significant, platinum-resistance was less frequently observed in patients with the C/T + T/T genotype (P = 0.064). Multivariate analysis showed that the C/T + T/T genotypes constituted an independent predictive factor of reduced risk of platinum-resistance in ovarian cancer (odds ratio 0.17, 95% confidence interval 0.04-0.74, P = 0.018, Fisher's exact test). No significant correlation was observed between overall survival and the ERCC1 polymorphism. Our results suggest that genotyping of the ERCC1 polymorphism Asn118Asn may be useful for predicting the platinum-resistance of epithelial ovarian cancer patients. However, these findings require prospective confirmation.

Original languageEnglish
Pages (from-to)320-324
Number of pages5
JournalExperimental and Molecular Medicine
Volume38
Issue number3
DOIs
StatePublished - 30 Jun 2006

Keywords

  • DNA repair
  • Drug resistance, neoplasm
  • ERCC1 protein, human
  • Ovarian neoplasms
  • Polymorphism, single nucleotide

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